Summerville of Atherton Court

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

015601255 Issued in CA

Legal business name

SUMMERVILLE OF ATHERTON COURT

Practice address

38035 Martha Ave
Fremont, CA 94536-3808

Phone

(510) 797-4011

Fax

(510) 797-4095

NPI assigned

May 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Noelle Diaz

Title

Licensing Specialist

Phone

(206) 301-4060

Specialties & licenses 1

Addresses

Other names 1

• Emeritus at Atherton Court Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1194936898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 ELLIOTT AVE",
            "address_2": "SUITE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211302",
            "telephone_number": "206-298-2909",
            "fax_number": "206-301-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38035 MARTHA AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945363808",
            "telephone_number": "510-797-4011",
            "fax_number": "510-797-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERVILLE OF ATHERTON COURT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "NOELLE",
        "authorized_official_title_or_position": "LICENSING SPECIALIST",
        "authorized_official_telephone_number": "206-301-4060"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CA",
            "license": "015601255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emeritus at Atherton Court",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Tyler Sullivan
• Alyssa Sultana
• Andrew W Sulyma, DO
• Erina Sumaiya
• Dewate Sumetanon, MD
• Summit Hearing Centers
• Huijuan Sun Findley, L. AC
• Sun Physical Therapy
• Cecillia Y Sun, R.D.
• Huaxin Sun

• Alzheimer Center (Dementia Center) in Fremont, CA
• Providers in Fremont, CA by specialty
• Alzheimer Center (Dementia Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.